Early complications following radical surgical treatment of patients with gastric adenocarcinoma

Abstract

Radical surgical treatment of patients with gastric adenocarcinoma might be done with an acceptable morbidity and mortality if it is performed by the surgeons with the experience in D2 lymphadenectomy technique. A diameter of the tumor> 5 cm, and splenectomy, and/or splenopancreatectomy are the most important risk factors for the occurrence of complications and modifications of D2 lymphadenectomy technique with limited indications for splenic and/or pancreas resection can improve treatment results. An individual approach and the appropriate selection of the surgical procedure are necessary in patients older than 70 years.

Postoperative Morbidity and Mortality Following D2 Gastrectomy-an Audit of 456 Cases

“…Respiratory complications were the most common complications in our series. It ranged from 3.4 % to 13 % in various series [5,26,15,13]. The incidence of pleural effusion was 4.28 % postoperatively in a series reported by Kostić Z et al [15].…”

“…It ranged from 3.4 % to 13 % in various series [5,26,15,13]. The incidence of pleural effusion was 4.28 % postoperatively in a series reported by Kostić Z et al [15]. Aggressive chest physiotherapy, incentive spirometry, early mobilization and use of prophylactic antibiotics have reduced the incidence of respiratory complications.…”

“…Mortality rate was found to be high after redo laparotomy [10]. Pancreatic fistula has been reported in some series after radical gastrectomy [2,15]. A randomized controlled trial by Imamura H et al showed there was no significant increase in morbidity or mortality with additional bursectomy, though there was a significant increase in blood loss with additional bursectomy [31].…”

“…Various factors influence post operative morbidity and mortality. Splenectomy and distal pancreatectomy was found to increase post operative complications in various series [4,15,22,32,33]. Fatouros M et al found no significant increase in morbidity and mortality with resection of spleen [34].…”

Deep venous thrombosis after gastrectomy for gastric carcinoma: A case report

“…Currently, g astrectomy and extended lymphadenectomy is the optimal choice for late g astric carcinoma [1] . Postoperative complications after total gastrectomy included hemorrhage, anastomotic leakage, fistula, and obstruction [2][3][4][5][6] . However, DVT is an uncommon complication after gastrectomy for gastric carcinoma.…”